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Pharmacological Aspects of Nursing Care 8Th Ed By Broyles Reiss Evans - Test Bank
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,CHAPTER 1: DRUGS/AGENTS AND FACTORS AFFECTING THEIR ACTIONTRUE/FALSE
1. Solutions must be kept in tightly capped containers to prevent solvent evaporation.
ANS: T PTS: 1 REF: p. 7 OBJ: Cognitive Level: Knowledge
2. The nurse must use caution to prevent self-medication when applying transdermal patches to clients.
ANS: T PTS: 1 REF: p. 9, Safe Nursing Practice 1-1
OBJ: Cognitive Level: Application
3. During a clinical trial, a client may be given an investigational drug without informed consent.
ANS: F
Feedback
Correct Informed consent must be obtained for each client participating in clinical trials
for investigational drugs.
Incorrect
PTS: 1 REF: p. 14 OBJ: Cognitive Level: Comprehension
4. Health care providers should not report “adverse events” with medications, because it will increase
liability.
ANS: F
Feedback
Correct Health care professionals should voluntarily report adverse events with
medication.
Incorrect
PTS: 1 REF: p. 14 OBJ: Cognitive Level: Application
5. Allergic reactions do not occur unless the client has been previously exposed to the agent or a
chemically related compound.
ANS: T PTS: 1 REF: p. 20 OBJ: Cognitive Level: Knowledge
MULTIPLE CHOICE
The client with an elevated temperature, fatigue, and a productive cough visits the physician. The
physician examines the client and determines that he has pneumonia. An antibiotic is prescribed, and
the client is advised to take aspirin every four hours to reduce the fever and to drink plenty of fluids.
The following questions relate to this client and to the background information about drugs the nurse
needs to know to provide care to clients like this one.
1. A drug information source that would be most appropriate to use to identify an unknown drug product
by its appearance is:
, a. Physician’s Desk Reference. c. AHFS Drug Information.
b. Facts and Comparisons. d. American Drug Index.
ANS: A
Feedback
A Correct: The PDR provides color pictures of many drugs to facilitate the identification
of unknown drug products.
B Incorrect: This does not provide color pictures of drugs.
C Incorrect: This does not provide color pictures of drugs.
D Incorrect: This does not provide color pictures of drugs.
PTS: 1 REF: p. 16 OBJ: Cognitive Level: Comprehension
2. A device used to estimate body surface area based on a client’s height and weight is a:
a. plasma concentration versus time plot. c. dosimeter.
b. histograph. d. nomogram.
ANS: D
Feedback
A Incorrect: This does not provide estimated body surface.
B Incorrect: A histograph is a graph showing frequency distribution.
C Incorrect: A dosimeter is a device for measuring X-ray output.
D Correct: A nomogram is a chart that permits estimation of BSA from height and weight
data.
PTS: 1 REF: p. 26 OBJ: Cognitive Level: Comprehension
3. If the half-life of an antibiotic is 6 hours, the percentage of the original dose that will remain in a
client’s body 24 hours after a single dose has been administered is:
a. 4%. c. 2.5%.
b. 25%. d. 6.25%.
ANS: D
Feedback
A Incorrect: In 24 hours, the client will have more than 4% remaining.
B Incorrect: The client will have 25% remaining after 12 hours.
C Incorrect: The client will have more than 2.5% remaining.
D Correct: As each 6-hour interval (one half-life) elapses, the drug concentration in the
body is further reduced by 50% of what it was at the beginning of the interval.
PTS: 1 REF: p. 24 OBJ: Cognitive Level: Application
4. When a drug, such as an antibiotic, is classified as a “legend drug,” this means that:
a. the drug may be sold directly to the consumer without a prescription.
b. it is a controlled substance, regulated by law.
c. it is labeled with the caution: “Federal law prohibits dispensing without prescription.”
d. it contains extensive information in the package.
ANS: C
Feedback
, A Incorrect: This is a nonprescription agent.
B Incorrect: Controlled substances are legend drugs, but so are all prescription drugs.
C Correct: All prescription drugs are legend drugs.
D Incorrect: This is not the definition of a legend drug, nor does this statement define what
is meant by “extensive.”
PTS: 1 REF: p. 10 OBJ: Cognitive Level: Knowledge
5. Abnormal reactivity that is based on genetic factors, and may occur with the first exposure to a drug, is
known as a(n):
a. idiosyncratic effect. c. hypersensitivity reaction.
b. side effect. d. allergic reaction.
ANS: A
Feedback
A Correct: An idiosyncratic drug reaction is an adverse reaction that can occur with the
first exposure to the drug.
B Incorrect: This is an additional effect other than the intended effects of the drug.
C Incorrect: Hypersensitivity reaction occurs in the client who has previously been
exposed to the drug.
D Incorrect: The allergic reaction is the same as a hypersensitivity reaction.
PTS: 1 REF: p. 20 OBJ: Cognitive Level: Comprehension
6. The study of the biochemical and physiological effects of drugs as well as their mechanism(s) of action
is called:
a. pharmacodynamics. c. pharmacokinetics.
b. pharmacognosy. d. pharmacotherapeutics.
ANS: A
Feedback
A Correct: The question defines pharmacodynamics.
B Incorrect: This is the study derived from herbal and other natural sources.
C Incorrect: This is the study of the absorption, distribution, biotransformation, and
excretion of drugs.
D Incorrect: This is the study of how drugs may best be used in the treatment of illness.
PTS: 1 REF: p. 3 OBJ: Cognitive Level: Knowledge
7. Soft gelatin capsules are most commonly employed in encapsulating:
a. sustained-release dosage forms.
b. drugs that do not easily dissolve in stomach fluids.
c. large drug doses.
d. liquid drugs.
ANS: D
Feedback
A Incorrect: These are forms of hard-shelled capsules.
B Incorrect: Soft gelatin capsules usually are designed to encapsulate liquid medications.
C Incorrect: This is not a use for gelatin capsules.
D Correct: Soft gelatin capsules usually are designed to encapsulate liquid medications.
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